Care Transition Navigator for Home Health & Hospice

Adoration Health

Jackson (TN)

On-site

USD 60,000 - 90,000

Full time

14 days+
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Job summary

Adoration Health in Tennessee is seeking a Care Transition Coordinator to facilitate smooth patient transitions from facility to home health or hospice care. You will evaluate eligibility, coordinate care plans, and ensure ancillary services are arranged per agency guidelines.

In this role you will educate patients, collaborate with physicians and the executive team, manage documentation in Home Care Home Base, and support market growth while upholding financial stewardship and quality patient

Qualifications

  • Minimum of one year of experience in home health or hospital-based case management.
  • Active licensure in RN, LPN, SW, or PT as applicable.
  • Valid driver's license and reliable transportation.
  • Knowledge of Medicare guidelines and care transition processes.
  • Proven ability to educate patients and coordinate services.

Responsibilities

  • Achieve monthly production goals and MC admission targets for assigned locations.
  • Implement strategies to increase market share within facilities.
  • Evaluate patients and orders for home care eligibility according to Right of Choice.
  • Conduct face-to-face patient transitions to educate and identify PCP for the plan of care.
  • Coordinate transfer orders and ancillary services (e.g., DME, infusion).
  • Educate patients on discharge orders and medications.
  • Collaborate with the Executive Director to align team with referral source needs.
  • Maintain documentation in Home Care Home Base.

Skills

Communication
Care coordination
Patient education
Team collaboration

Education

Registered Nurse (RN) license
Licensed Practical Nurse (LPN) license
Social Worker (SW) license
Physical Therapist (PT) license

Tools

Home Care Home Base

Job description

Adoration Health in Tennessee is seeking a Care Transition Coordinator to facilitate smooth patient transitions from facility to home health or hospice care. You will evaluate eligibility, coordinate care plans, and ensure ancillary services are arranged per agency guidelines.

In this role you will educate patients, collaborate with physicians and the executive team, manage documentation in Home Care Home Base, and support market growth while upholding financial stewardship and quality patient

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